CN101690680B - Expansive orthodontic anchorage implant - Google Patents
Expansive orthodontic anchorage implant Download PDFInfo
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- CN101690680B CN101690680B CN2009103065609A CN200910306560A CN101690680B CN 101690680 B CN101690680 B CN 101690680B CN 2009103065609 A CN2009103065609 A CN 2009103065609A CN 200910306560 A CN200910306560 A CN 200910306560A CN 101690680 B CN101690680 B CN 101690680B
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- 239000007943 implant Substances 0.000 title claims abstract description 56
- 230000007704 transition Effects 0.000 claims abstract description 9
- 238000000034 method Methods 0.000 claims description 5
- 238000002513 implantation Methods 0.000 claims 9
- 210000000988 bone and bone Anatomy 0.000 abstract description 5
- 239000010936 titanium Substances 0.000 description 10
- 229910052719 titanium Inorganic materials 0.000 description 5
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000014759 maintenance of location Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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Abstract
本发明属于医用器械,具体涉及一种膨胀正畸支抗种植体,其特征是:包括种植体以及与种植体相配合的膨胀体,种植体上端为颈部肩台,下端是种植体本体,颈部肩台外径大于种植体本体的外径,颈部肩台以中心轴线为中心开设有一段内螺纹,内螺纹下端有一段内孔,内孔下端通过锥形过渡孔至一条对称的缝隙;所述的膨胀体上端为六边形结构螺冒,六边形结构螺冒下端为膨胀体颈部螺纹,膨胀体颈部螺纹大小与所述的内螺纹相配套,膨胀体颈部螺纹下端有一段与所述内孔配合的柱体,柱体下端为锥体,锥体形状态略小于缝隙所述的锥形过渡孔。本发明利用机械膨胀增加种植体末端与骨组织接触面的成角角度,同时压缩周围骨组织,大大提高了种植体的把持力,减小种植体的松动率。
The invention belongs to medical equipment, and in particular relates to an expanded orthodontic anchorage implant. The outer diameter of the neck shoulder is larger than the outer diameter of the implant body. The neck shoulder is provided with a section of internal thread centered on the central axis. There is a section of inner hole at the lower end of the inner thread. The lower end of the inner hole passes through a tapered transition hole to a symmetrical gap. The upper end of the expansion body is a hexagonal structure screw cap, and the lower end of the hexagonal structure screw cap is the neck thread of the expansion body, the size of the neck thread of the expansion body matches the internal thread, and the lower end of the neck thread of the expansion body There is a section of cylinder matched with the inner hole, the lower end of the cylinder is a cone, and the cone shape is slightly smaller than the tapered transition hole described in the gap. The invention uses mechanical expansion to increase the angle of the contact surface between the end of the implant and the bone tissue, and at the same time compresses the surrounding bone tissue, greatly improving the holding force of the implant and reducing the loosening rate of the implant.
Description
技术领域 technical field
本发明属于医用器械,具体涉及一种膨胀正畸支抗种植体。The invention belongs to medical equipment, in particular to an expanded orthodontic anchorage implant.
背景技术 Background technique
正畸治疗是对牙齿或颌骨施力,并使之达到一定位置的过程,在给牙齿和颌骨施力时,该力量的反作用力必须由一稳定的装置来承担,即所谓“正畸支抗”的概念。正畸支抗种植体主要包括:修复种植体、腭部种植体、磨牙后区种植体、微型钛板、微型钛钉等在内的众多骨性支抗。正畸支抗种植体能够实现用传统正畸手段难以完成的牙齿移动类型,从某种程度上也影响了正畸治疗的设计和实施。种植支抗系统也从传统的修复种植体到专门设计的正畸支抗种植体系统;材料从常规的钛合金到可生物吸收材料;系统设计也越来越小型化,以适应更多的位置要求,同时也减少了手术创伤,增加患者的耐受性。目前临床上最为常见的是微型钛钉种植体支抗系统,微型钛钉种植体作为暂时性支抗装置,其支抗能力来自种植体的初始稳定性,可即刻加力负载。微型钛钉种植体可方便的植入颌骨任何所需要的部位,其直径在1.5mm至3.0mm不等,长度在6.0mm至12.0mm不等。正畸支抗的设计和控制对于正畸治疗成功至关重要。但临床上常见由于骨质量缺陷(如骨质疏松)等影响正畸支抗种植体的早期稳定,引起种植体松动、脱落,从而导致正畸治疗失败。Orthodontic treatment is the process of applying force to the teeth or jaws and making them reach a certain position. When applying force to the teeth and jaws, the reaction force of the force must be borne by a stable device, which is the so-called "orthodontics". resistance" concept. Orthodontic anchorage implants mainly include: prosthetic implants, palatal implants, retromolar implants, micro titanium plates, micro titanium nails and many other bony anchorages. Orthodontic anchorage implants can achieve the type of tooth movement that is difficult to achieve with traditional orthodontic methods, which also affects the design and implementation of orthodontic treatment to some extent. The implant anchorage system also changes from traditional prosthetic implants to specially designed orthodontic anchorage implant systems; materials range from conventional titanium alloys to bioabsorbable materials; system designs are also increasingly miniaturized to accommodate more positions Requirements, but also reduce surgical trauma, increase patient tolerance. At present, the most common clinical application is the micro-titanium nail implant anchorage system. The micro-titanium nail implant is used as a temporary anchorage device, and its anchorage capacity comes from the initial stability of the implant, which can immediately increase the load. Miniature titanium nail implants can be easily implanted in any desired part of the jaw, with diameters ranging from 1.5mm to 3.0mm and lengths ranging from 6.0mm to 12.0mm. The design and control of orthodontic anchorage is critical to the success of orthodontic treatment. However, clinically, it is common that bone quality defects (such as osteoporosis) affect the early stability of orthodontic anchorage implants, causing implant loosening and falling off, resulting in failure of orthodontic treatment.
发明内容 Contents of the invention
本发明的目的在于提供一种具有较好的固位性能,较低松动脱落率,同时也能够做为常规正畸支抗种植体脱落后的替代体的膨胀正畸支抗种植体。The purpose of the present invention is to provide an expansive orthodontic anchorage implant that has better retention performance, lower loosening and falling off rate, and can also be used as a substitute for conventional orthodontic anchorage implants after falling off.
为达到上述目的,本发明采用的技术方案是一种膨胀正畸支抗种植体,其特征是:包括种植体以及与种植体相配合的膨胀体,种植体为空腔结构,种植体上端为颈部肩台,下端是种植体本体,颈部肩台外径大于种植体本体的外径,颈部肩台以中心轴线为中心开设有一段内螺纹,内螺纹下端有一段内孔,内孔下端通过锥形过渡孔至一条对称的缝隙;所述的膨胀体上端为六边形结构螺冒,六边形结构螺冒下端为膨胀体颈部螺纹,膨胀体颈部螺纹大小与所述的内螺纹相配套,膨胀体颈部螺纹下端有一段与所述内孔配合的柱体,柱体下端为锥体,锥体形状态略小于缝隙所述的锥形过渡孔。In order to achieve the above object, the technical solution adopted by the present invention is an expanded orthodontic anchorage implant, which is characterized in that: it includes an implant and an expansion body matched with the implant, the implant is a cavity structure, and the upper end of the implant is The neck shoulder, the lower end is the implant body, the outer diameter of the neck shoulder is larger than the outer diameter of the implant body, the neck shoulder is centered on the central axis, and there is a section of internal thread, and the lower end of the internal thread has a section of inner hole, the inner hole The lower end passes through a tapered transition hole to a symmetrical gap; the upper end of the expansion body is a hexagonal structure screw cap, and the lower end of the hexagonal structure screw cap is the neck thread of the expansion body, and the size of the neck thread of the expansion body is the same as that of the expansion body. The internal thread is matched, and the lower end of the neck thread of the expansion body has a cylinder that matches the inner hole. The lower end of the cylinder is a cone, and the state of the cone is slightly smaller than the tapered transition hole described in the gap.
所述的颈部肩台外边缘为圆滑。The outer edge of the neck shoulder is smooth.
所述的种植体本体外径为2.0mm,内径为1.7mm,长度为6.0mm,外螺纹高度为0.15mm,外螺纹螺距为0.6mm,缝隙长度为4.0mm,缝隙宽度为0.4mm。The outer diameter of the implant body is 2.0mm, the inner diameter is 1.7mm, the length is 6.0mm, the height of the external thread is 0.15mm, the pitch of the external thread is 0.6mm, the length of the gap is 4.0mm, and the width of the gap is 0.4mm.
所述的颈部肩台2高度为2.0mm,外径为3.0mm,内径为0.3mm,内螺纹高度为0.1mm,内螺纹螺距为0.25mm。The
所述的六边形结构螺冒直径为3.0mm,膨胀体颈部螺纹螺纹高度为0.1mm,螺纹螺距为0.25mm。膨胀芯长度为8.0mm。The diameter of the hexagonal screw cap is 3.0 mm, the thread height of the neck of the expansion body is 0.1 mm, and the thread pitch is 0.25 mm. The expansion core length is 8.0 mm.
所述的种植体以及与种植体相配合的膨胀体均的材料采用Ti6Al4V,易于加工,成本较低;同时Ti6Al4V也有一定的弹性,可以满足种植支抗取出的要求。The material of the implant and the expansion body matched with the implant is Ti 6 Al 4 V, which is easy to process and low in cost; at the same time, Ti 6 Al 4 V also has a certain degree of elasticity, which can meet the requirements of implant anchorage extraction .
本发明利用机械膨胀增加种植体末端与骨组织接触面的成角角度,同时压缩周围骨组织,大大提高了种植体的把持力,减小种植体的松动率。The invention uses mechanical expansion to increase the angle of the contact surface between the end of the implant and the bone tissue, and at the same time compresses the surrounding bone tissue, greatly improving the holding force of the implant and reducing the loosening rate of the implant.
附图说明 Description of drawings
图1是本发明的整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;
图2是图1的侧视图;Fig. 2 is a side view of Fig. 1;
图3是本发明使用状态图。Fig. 3 is a diagram of the use state of the present invention.
图中,1、六边形结构螺冒;2、颈部肩台;3、种植体本体;4、缝隙;5、空腔结构;6、膨胀体颈部螺纹;7、膨胀芯。In the figure, 1. Hexagonal structure screw; 2. Neck shoulder; 3. Implant body; 4. Gap; 5. Cavity structure; 6. Neck thread of expansion body; 7. Expansion core.
具体实施方式 Detailed ways
下面结合实施例附图对本发明作进一步详细说明。The present invention will be described in further detail below in conjunction with the accompanying drawings of the embodiments.
如图1和图2所示,包括种植体以及与种植体相配合的膨胀体,种植体为空腔结构5,种植体上端为颈部肩台2,下端是种植体本体3,颈部肩台2外径大于种植体本体3的外径,颈部肩台2以中心轴线为中心开设有一段内螺纹,内螺纹下端有一段内孔,内孔下端通过锥形过渡孔至一条对称的缝隙4;所述的膨胀体上端为六边形结构螺冒1,六边形结构螺冒1下端为膨胀体颈部螺纹6,膨胀体颈部螺纹6大小与所述的内螺纹相配套,膨胀体颈部螺纹6下端有一段与所述内孔配合的柱体,柱体下端为锥体,锥体形状态略小于缝隙4所述的锥形过渡孔。空腔包括As shown in Fig. 1 and Fig. 2, including the implant and the expansion body matched with the implant, the implant is a
如图3所示,通过将膨胀体下端的锥体沿种植体轴线向下推入,当六边形结构螺冒1下端的膨胀体颈部螺纹6与颈部肩台2内螺纹接合时,转动六边形结构螺冒1,膨胀体下端的锥体将通过锥形过渡孔至下面对称的缝隙4内,随着膨胀体下端的锥体不断向下,种植体本体3随缝隙4不断膨胀,从而实现种植体本体3尖端的膨胀,达到较好的固位效果。As shown in Figure 3, by pushing the cone at the lower end of the expansion body downward along the implant axis, when the
设计时,颈部肩台2外边缘为圆滑,是为了减小对牙龈的损伤;种植体本体3外径为2.0mm,内径为1.7mm,长度为6.0mm,外螺纹高度为0.15mm,外螺纹螺距为0.6mm,缝隙4长度为4.0mm,缝隙4宽度为0.4mm;颈部肩台2高度为2.0mm,外径为3.0mm,内径为0.3mm,内螺纹高度为0.1mm,内螺纹螺距为0.25mm;六边形结构螺冒1直径为3.0mm,膨胀体颈部螺纹6螺纹高度为0.1mm,螺纹螺距为0.25mm,膨胀芯7长度为8.0mm。During design, the outer edge of the
本发明种植体采用Ti6Al4V作为原材料,替代了原有的镍钛合金。在保证使用效果不变的情况下,降低了加工难度,从而降低成本;由于正畸支抗种植体在正畸治疗后要取出,膨胀式结构不利于临床取出种植体,利用Ti6Al4V具有一定的形状可恢复性,治疗结束后,方便取出种植体,同时Ti6Al4V具有良好的生物相容性,可以应用于临床;旋入式膨胀芯避免在植入手术时可能导致的种植体向外脱出,影响其固位的效果,同时还可根据旋入的深度控制种植体膨胀的角度;膨胀芯上部为六边形设计方便辅助器械操作旋入。The implant of the present invention uses Ti 6 Al 4 V as a raw material, replacing the original nickel-titanium alloy. In the case of ensuring the same use effect, the difficulty of processing is reduced, thereby reducing the cost; because the orthodontic anchorage implant needs to be removed after orthodontic treatment, the expansion structure is not conducive to clinical removal of the implant, and the use of Ti 6 Al 4 V It has a certain shape recoverability, and it is convenient to take out the implant after the treatment. At the same time, Ti 6 Al 4 V has good biocompatibility and can be applied clinically; The implant protrudes outward, affecting its retention effect, and at the same time, the expansion angle of the implant can be controlled according to the depth of screwing in; the upper part of the expansion core is hexagonal in design to facilitate screwing in of auxiliary instruments.
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CN102824220A (en) * | 2012-09-06 | 2012-12-19 | 哈尔滨工程大学 | Self-expansion type shape memory alloy medicine-carrying implant |
CN104055591B (en) * | 2013-07-31 | 2016-12-28 | 广州市健齿生物科技有限公司 | There is spontaneous elastic and expand the closed implantation body of function |
CN106333754B (en) * | 2016-09-21 | 2017-11-17 | 中国人民解放军第四军医大学 | A kind of pure titanium oral cavity micro-implant of Ultra-fine Grained and preparation method thereof |
CN106691609B (en) * | 2016-11-24 | 2022-04-15 | 北京华钽生物科技开发有限公司 | High-affinity tissue corrosion-resistant implant and manufacturing method thereof |
CN109938860A (en) * | 2017-12-20 | 2019-06-28 | 北京德瑞森科技有限公司 | A kind of transitional denture |
CN110025389A (en) * | 2019-04-15 | 2019-07-19 | 五邑大学 | A kind of expanded tooth planting unit based on differential thread transmission |
CN110368115A (en) * | 2019-08-19 | 2019-10-25 | 浙江明威医疗器械有限公司 | Dental implant and implantation methods |
CN113331973B (en) * | 2021-06-04 | 2022-09-23 | 西安交通大学口腔医院 | Oral implant and oral implant assembly |
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US2490364A (en) * | 1948-02-27 | 1949-12-06 | Herman H Livingston | Bone pin |
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